"I still intend to do 'Miller'-style first person narrative captions which give some insight into Batman's thought processes but it seems more 'realistic' to imagine Batman as a hardcore fightin' man who wouldn't even notice his injuries until long after the fight was over, so no more of that 'MY BACK SPLINTERS INTO A THOUSAND SHARDS OF AGONIZED BONE. HE'S GOOD. HE'S YOUNG. HE'S TOUGHER AND YOUNGER THAN ME. AND TOUGHER. DID I MENTION TOUGHER ? MUSN'T BLACK OUT...'"

Batman thinking: I could crush his windpipe and sever all oxygen from his brain. I could push his ribs right through his lungs and rupture his heart. I could pound his skull into the pavement until it fractured into so many pieces his brain would spill out.

Wolverine: The first claw just punctured your spleen. It'll bleed but you'll live. The third claw's sticking into your kidney. Good thing you got two. I pop the middle one it goes right through your liver.

Which, as pointed out on Polite Dissent, is anatomically impossible. Then again, he may have simply been bluffing.

Rorschach does this in Watchmen: "I have just broken this man's little finger. Who killed Edward Blake?"

In Nomad, Lycan says "Did you know that nearly every creature has a brachiocephalic artery carrying blood to the brain, or something similar? And if pressure is applied, causing it to burst, well... Death is instantaneous." Three guesses what he does.

The protagonists in Sin City often explain in gruesome detail how they've been injured or how they're torturing the bad guys. Marv's torture of Kevin is probably the prime example.

In The Punisher MAX, Frank Castle provides an internal narration example during a fight with Ax-Crazy Pittsy, who shoots him point-blank in the chest with a shotgun.

In the movie Cellular, a kidnapped high-school teacher stabs her kidnapper in the arm with a pair of scissors then tells him "Tenth grade biology. Brachial artery... pumps thirty liters of blood a minute. There's only five in the human body. I'm sorry."

Loony Bin Jim: Blood in the urine, an early indicator of kidney failure.

Loony Bin Jim: You should be seeing double right about now.

Loony Bin Jim: That would be a torn meniscus.

In The Punisher (2004), the eponymous character takes a blowtorch to a man's back and describes what he's doing in great detail, including telling him that it's not painful yet because the nerve endings are seared and when the flame's that hot, it actually feels cold. This turns out to be a subversion, as the Punisher is really just swiping a popsicle across the man's back to create the described symptoms, while simultaneously using the blowtorch on a steak to create the smell of charred flesh.

Done in Black Ninja as the eponymous character tells a villain how the hero has paralyzed him for life. The scene is especially odd because the villain is on the toilet, and the only sound aside from the hero talking is a bunch of farting noises.

"That sound you just heard was your lateral collateral ligament and anterior cruciate ligament tearing free of the joint. It's also possible that your patella or tibia was just fractured. Get rid of the knife, or I start on your cranium."

In Sheeps Clothing, Doc Meadows's first hint of badassery comes in his narration just before he kicks a man in the knee, as he describes what tendons and ligaments will be damaged as the joint breaks.

Neroon: I've just broken two of your ribs. (whack!) Sorry, make that three.

Dexter has a moment like this when attacking the abusive father of Astor's friend. He describes how he is hitting internal organs in just the right way to unleash terror.

Star Trek: The Original Series: Dr. McCoy, with a newly-awakened Khan holding a scalpel to his throat, merely tells him that the recommended procedure for a quick kill would be to sever the carotid artery. After Khan praises McCoy for bravery, he simply states that it would be a quicker death than the jugular vein that was Khan's initial target.

A rather indirect example from "Louie'', where nuns at a Catholic school bring in a doctor (played by TomNoonan) to graphically and viscerally explain to the young main character and his classmates the violence suffered by Christ during his crucifixion.

Dr. Ray Langston has a moment like this in CSI. He puts a choke hold on a suspect, and describes the effects it's having on the guy.

How do you avoid anything with a BFS that big? Especially given that one of his moves features him stabbing his opponent in the head. A two foot wide sword, driven directly into your skull... maybe if it were Voldo.

CROSS†CHANNEL: The protagonist Taichi Kurosu displays uncanny medical knowledge at certain points during the game by quickly and effectively diagnosing injuries his friends have received. The "Bad Ass" part of the trope derives from the fact that he also committed mass murder as a child and has a long-standing relationship with an expert kunoichi.

In one chapter of The Adventures of Dr. McNinja, Dr. McNinja actually has to use this to explain to Death why he'll live after being shot multiple times. Subverted when Death doesn't care about his diagnosis, and Dr. McNinja has to beat the snot out of him to go free. Also, he's an actual doctor.

In a later adventure, one page ends with him about to fight a large intelligent ape. The next page shows him being swung back and forth, his head hitting the ground each panel, for a couple of panels. Then the Dr, in a moment of lucidity, diagnosis that this has been happening for quite some time.

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